The Centers for Medicare and Medicaid Services (CMS) has published a final rule, updating requirements for managed care plans funded by Medicaid and the Children’s Health Insurance Program. The updated requirements are aligned with requirements enacted by the Affordable Care Act that are applicable to the federally-operated and state health insurance marketplaces. In many of these marketplaces, Medicaid managed care plans are available among the options that health care consumers can choose from. The updated requirements also are aligned with CMS’ drive towards health care delivery system reform.
The final rule will be published in the Federal Register on June 7, 2016.
CMS has published several fact sheets about the final rule, including this fact sheet about strengthening the consumer experience:
This fact sheet describes the alignment with Medicare Advantage and private, commercial health coverage:
And this fact sheet highlights how the final rule supports state efforts to advance health care delivery system reform: